Review Question - QID 106100

A 67-year old male with congestive heart failure with systolic dysfunction presents to the emergency department with several days of nausea, vomiting, and decreased appetite. He denies fever, chest pain, abdominal pain, or sick contacts. He reports shortness of breath at baseline. His heart rate is 84 beats/min and his blood pressure is 118/87. Physical exam is remarkable for +1 pitting edema in his bilateral lower extremities. His current medications include furosemide, lisinopril, carvedilol, and digoxin. At a recent cardiologist visit, his furosemide dose was increased due to worsening lower extremity edema. His EKG is shown below (Figure A). His lab values are below.
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